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By W. L. VALK, M.D. AND W. S. WITUS, M.D. Section of Urology, Department of Surgery, University of Kansas Medical Center, Kansas City, Kansas It is the purpose of this review to discuss some of the recent important advances in the diagnosis and surgical treatment of certain renal diseases. In particular, we have tried to emphasize the close relationship between the medical and surgical aspects of the various topics discussed. It is hoped that increased cooperation between the internist and the urologist will result in earlier diagnosis and treatment in many instances. DIAGNOSTIC TECHNIQUES Evaluation of individual renal function in hypertension. Simultaneous collection of urine specimens from each kidney via ureteral catheters is a welI-recognized diagnostic tool in the attempt to implicate unilateral renal disease as a cause of hypertension. This procedure has been described by Howard and his associates (11). The basis for the test is the observed fact that there is a decrease in urine volume and sodium concentration from ischemic kidneys in dogs. The test can be performed with local or general anesthesia. The patient is encouraged to drink liberal quantities of fluid in the morning before being taken to the cystoscopy room. An intravenous
Annual Review of Medicine – Annual Reviews
Published: Feb 1, 1960
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